The Pilot Trap: What Health Systems Get Wrong About Implementation
Your pilot worked. You got approval to scale. Six weeks into full implementation, something is wrong: not catastrophically wrong, just wrong enough to make you wonder whether "it worked in the pilot" meant anything at all. In this episode, Dr. Sarah Matt breaks down the pilot trap: the gap between proving a tool works under controlled conditions and proving an organization is ready to run it under normal operating conditions. Pilots and implementations are not on the same continuum. They measure fundamentally different things. The health systems that scale successfully treat the pilot as a…
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